<!--{include file="`$theme_name`/header.html" page_title="`$_select_buy_service`"}-->
<style type="text/css">
@import url({$theme_img_path}css/effect.css);
</style>
<script src="scripts/jquery.tools.js"></script>
<div class="wrapper">
	<div class="tips"><span>{$position}</span></div>  
	<div class="blank6"></div>
         <!-- the tabs -->
        <ul class="tabs2 title_mouse">
              <li><a href="javascript:;"><span>{lang member_upgrade}</span></a></li>
        </ul>
        <!-- tab "panes" -->
	<div class="panes box_bord">
		<div class="charge_txt">
			<table>
				<form method="post" name="apply_frm" id="ApplyFrm" action="{$smarty.server.PHP_SELF}" target="_self" />
				<!-- {formhash} -->
				<input type="hidden" name="do" value="buynow" />
				  <tr>
					<th>{lang applicant_name}</th>
					<td>{if $pb_userid}{$pb_username}{else}<input name="username" type="text" id="username"><span>*<span><br>
							{lang applicant_name_conditions}</span>{/if}</td>
				  </tr>
				  <tr>
					<th>{lang applicant_type}</th>
					<td><label>
					  <select name="good_id" id="GoodId">
							  <!--{pb:good name="item" row="-1"}-->
							  <option value="{$item.id}">{$item.title}&nbsp;{$item.price}</option>
							  <!--{/pb:good}-->
							</select>
					</label></td>
				  </tr>
				  <tr>
					<th>{lang telephone}</th>
					<td><label>
					  <input name="tel" type="text" class="linehui" id="member_tel" value="{$MemberInfo.tel}" disabled="disabled">
							  <span>{lang left_bracket}<a href="javascript:;" onclick="$('#member_tel').attr('disabled',false);">{lang modify}</a>{lang right_bracket}</span>
					</label></td>
				  </tr>
				  <tr>
					<th>{lang email}</th>
					<td><label>
					  <input name="email" type="text" class="linehui" id="member_email" value="{$MemberInfo.email}" disabled="disabled">
							  <span class="fontred">{lang left_bracket}<a href="javascript:;" onclick="$('#member_email').attr('disabled',false);">{lang modify}</a>{lang right_bracket}</span>
					</label></td>
				  </tr>				  <tr>
					<th>{lang select_pay_method}</th>
					<td><label>
					  <select name="payment_id" id="PaymentId">
							  <!--{foreach from=$payments item=item}-->
							  <option value="{$item.id}">{$item.title}</option>
							  <!--{/foreach}-->
							</select>
					</label></td>
				  </tr>

				  <tr>
					<th>{lang description}</th>
					<td><label>
					  <input name="content" type="text" class="linehui" id="content" value="" />
					</label></td>
				  </tr>
				  <tr>
					<th>&nbsp;</th>
					<td><input type="button" class="submit_w118" value="{lang next_step}" onclick="$('#ApplyFrm').submit();"/></td>
				  </tr>
				  </form>
			</table>
		</div>
      </div>
</div>
<script>
var index_val = {$index|default:0};
</script>
<!--{literal}-->
<script>
$(function() {
$("ul.tabs2").tabs("div.panes > div",{initialIndex:index_val});
});
</script>
<!--{/literal}-->
<!--{include file="`$theme_name`/footer.html"}-->